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Asked to produce more physicians for Floridaâ€™s small towns, the College of Medicine has found a way
GROWING YOUR OWN
d e a n ’s
m e s s a g e
elcome to FSU MED. The fall is winding down, and time seems to be moving faster. We’re nearing the end of our second semester with the Class of 2019 and the new medicine curriculum. I appreciate the hard work of the faculty in bringing this patient-focused and integrated new program to
the students, and I appreciate the students’ enthusiasm in accepting the new methods and structure of learning. This class will experience the new curriculum throughout their journey, but we’ve already made substantive changes in the third and fourth years to continuously improve it. Here in our 15th year, it’s a good time to reflect on where we are and how we’re doing. Once again I’ve contracted with MGT, the local consulting firm that helped us make the case for a new medical school in 1999 and followed up with a socioeconomic analysis at our 10-year anniversary. I’ve asked MGT again to analyze our school’s impacts across the state, our outcomes so far and our efforts to meet the unique mission here at the College of Medicine.
DEAN John P. Fogarty, M.D. EDITOR Doug Carlson ASSOCIATE EDITOR Ron Hartung WRITERS Doug Carlson Ron Hartung Julie Jordan EDITORIAL ASSISTANT Trecie Leachman RESEARCH Sheldon White PHOTOGRAPHERS Colin Hackley Bill Lax/FSU Photo Services Ray Stanyard DESIGN Martin Young firstname.lastname@example.org
One of the college’s great stories is highlighted in this issue. In the late ’90s, the idea of starting a new medical school was controversial because many experts believed our country had too many doctors. Local people knew that was CERTAINLY not true in the Panhandle and most rural areas
FSU MED is published by the Florida State University College of Medicine, 1115 West Call Street,
of Florida. Our founders created a school committed to recruiting students from these areas and returning doctors to their hometowns.
Tallahassee, Florida 32306-4300. Send correspondence to Doug Carlson, editor, or email him at doug.carlson@
Since its inception, the College of Medicine has typically recruited 25 percent of its entering class from Panhandle counties. That’s remarkable, since only 8 percent of the total Florida population
med.fsu.edu. Letters may be edited for length, style and clarity. If you’d like to receive Electronic Medical Review,
resides in these counties. I know state Sen. Durell Peaden was proud of our school and our outcomes, and I recognized his contributions at our White Coat Ceremony in August — two months
the medical school’s e-newsletter, send an email with “Subscribe” and your full name in the subject line to
after his death. We lost a valued friend last summer. Please enjoy this issue and reflect on the vision of our early advocates, including Sen. Peaden,
email@example.com. This publication is available online by visiting med.fsu. edu (key link: news).
who saw the promise of a local medical school that would meet the medical needs of the region. We have great stories of our many graduates who are serving, and thriving, close to where they
TO MAKE A GIFT Jim McNeill, assistant dean for
grew up. We now have graduated 11 classes with 910 alumni and continue to build on the mission of the school, to produce the kinds of doctors Florida needs.
Enjoy reading about our story … and Go Noles!
J. Fogarty Dean
development, firstname.lastname@example.org. edu, 850-644-4389.
on the cover To paraphrase “Field of Dreams”: If you find them there, they will return. The College of Medicine recruits talented students from small towns, knowing there’s a chance many of them will feel the pull to return to where they are needed most.
Photo credits: COLIN HACKLEY Illustration: MARTIN YOUNG
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Remembering Doc Peaden He saw a need for a new medical school that would focus on creating more physicians for the places in Florida that need them the most. Doc Peaden lived to see his vision coming true. FEATURES
Growing your own: The quest for rural physicians By Ron Hartung The College of Medicine deliberately finds many of its students in out-of-the-way places in the Florida Panhandle. It’s no coincidence that so many alumni feel at home practicing in small towns.
headlines 2 Science, People and Places
rounds 26 Checking up on our alumni
first person 32
Medical mission trips are rewarding, but not always without risk
s c i e n c e
New clues on the cellular ‘garbage disposal’
ancer cells rarely cooperate with the drugs that science devises to kill them. They’re constantly evolving, often developing resistance or finding escape routes to stay one step ahead of the treatment.
For example, a popular target for chemotherapy in the treatment of many human cancers is the proteasome, a protein complex found in nearly all cells, from microorganisms to humans. Proteasomes are assembled within cells and function like a garbage disposal to remove damaged or unneeded proteins. Cancer cells often must find ways to evade molecular signals that tell them they shouldn’t be growing, or that they should commit cell suicide. They often evade these signals by using the proteasome to destroy the proteins carrying the signal. The cancerous cells are then able to divide unchecked. Understanding how our cells — healthy or otherwise — build new structures (such as proteasomes), then, is useful in understanding how to deal with defective cells, such as cancer cells. That’s one of the things Robert J. Tomko Jr., assistant professor of biomedical sciences at the College of Medicine, is doing. He is first corresponding author of a paper published in the journal Cell that presents a major step forward in understanding the mechanisms by which cells build proteasomes. “Our study describes how the ‘tail’ of a single protein subunit acts as a trigger in the assembly process when proteasomes are being built within the cell,” Tomko said. “This tail acts like a key that inserts into a lock, triggering a reorganization of the assembling proteasome from a structure similar to a closed fist into one more like an open hand.” From there, the under-construction proteasome fits into the palm of the open hand to complete assembly. This is where the discovery might be particularly useful. If scientists can stop the “tail” from opening the lock, it could be used to prevent cancer from growing new proteasomes that allow cancers to grow unchecked. Drugs that target the proteasome are extremely effective in several blood cancers, but resistance is emerging. These resistant cancer cells
JODI SLADE/MEDICAL ILLUSTRATOR, FSU COLLEGE OF MEDICINE
often build new or slightly different proteasomes to gain resistance.
Scientists could use the knowledge of assembly gained from these studies to prevent new proteasome assembly, thereby reversing resistance to drugs that target the proteasome. Tomko began working on the science as an American Cancer Society Postdoctoral Fellow at Yale University, where he worked with senior author Mark Hochstrasser, professor of A “lid,” which looks similar to an open hand, grasps the proteasome and allows it to perform its function, disposing of other proteins. The lid is prevented from grasping the proteasome prematurely by assuming a shape like a closed fist. A subunit identified in Tomko’s research attaches to the lid, opening it and allowing it to activate the proteasome. This information provides clues to developing new anticancer drugs that trap the proteasome in an inactive state.
molecular biophysics and biochemistry. He completed his work and wrote the paper after joining the FSU College of Medicine in January.
A protein with promise
“The experimental approach is a tour de force combining cutting edge technologies to resolve a question that could otherwise not be addressed,” one scientist wrote in the peer review process before the paper was accepted for
ometimes you wonder whether
of Biological Chemistry, a kinase — that is,
researchers who spend their careers
a protein that chemically modifies other
peering into microscopic cells lose
proteins — called Cdc7 opens up the
their sense of wonder. Then again,
helicase ring to let one strand out.
sometimes all you have to do is ask.
But not until this summer, in a paper
publication. “The insights may become useful in
“Evolution has done such a good job
published in Proceedings of the National
developing novel pharmaceutical approaches to
of producing molecules to perform these
Academy of Sciences, did Kaplan and Research
inhibit proteasome activity.”
exquisitely, highly regulated chemical
Faculty Irina Bruck figure out that Treslin was also a key ingredient — in two ways.
Understanding cancer at the molecular level is
reactions,” Daniel Kaplan said recently when
one of the focal points of the College of Medicine’s
asked about scientific wonder. “It’s just a big
research program, and served to attract Tomko
bucket of chemistry in a cell, and it’s very
modification of the helicase, thereby
and other recent additions to the Department of
precisely regulated and orchestrated.”
activating it, but also assembles the helicase
Every orchestra needs a conductor, and Kaplan’s
Treslin not only stimulates the chemical
in preparation for cell division. Since
Tomko’s work is a prime example of why
lab has identified another one of them. This latest
cancer is the unregulated division of cells,
molecular mechanisms are so important in
discovery not only sheds light on cell division but
knowing how to stop the division process
advancing our understanding of diseases such
also could lead to improved cancer therapy.
is crucial to halting cancer.
as cancer. The cell is constantly building large
The key, says Kaplan, a Department of
“We think this is really important,”
structures out of smaller protein parts to perform
Biomedical Sciences researcher, is a protein
Kaplan said, “because now we can take
different required tasks, and the more we know
this purified Treslin and the helicase, put
about how that works, the more effectively physicians can act when problems occur.
“It can target cancer cells,” he said. “Most
them in a tube and watch the chemical
chemotherapy also targets rapidly dividing
modification occur. Then we can add small
normal cells, but this seems to have promise for
molecule inhibitors to see if we can inhibit
a human building
not doing that. Drug companies are going to be
that. That should stop activation of the
a car. As with
helicase. That should stop the cancer cells
Tomko likens a cell building a proteasome to
Before cells can divide, their DNA must be
from dividing. You kill cancer cells but not
assembly, there are
copied. In addition, the strands of the DNA’s
different ways to put
famous double helix must be unwound, via a
Florida State has filed a provisional
the pieces together,
protein called helicase. One strand needs to be
patent. Meanwhile, the Kaplan lab keeps
but only a few
inside the helicase ring, the other outside. As
probing the mysteries of that “big bucket of
pathways are likely to
Kaplan’s lab reported last year in the Journal
chemistry in a cell.”
generate a working product. of an engine first, for
Building the outside Robert J. Tomko Jr.
example, could block access to install inner components needed for that engine to actually work. “Thus, some mechanisms must be in place to make sure that all of the pieces go together in the right way, in the right order,” Tomko said. And with his team’s discovery, scientists now have a better understanding of the order and manner in which cells build proteasomes.
“We feel strongly,” Hochstrasser said, “that this work breaks both important new conceptual ground in our understanding of how assembly of large protein complexes occurs in vivo and methodological ground in studying protein assembly.”
s c i e n c e One of STEM’s ‘Inspiring Women’
t age 7, Yi Ren was often
“I was first in line for the M.Phil. position
more of a blessing, as it made me realize the
separated from her parents
with a female professor at my medical school
importance of determination.”
during China’s Cultural
in China,” said Ren. “But she was unwilling to
Revolution. She lived alone at
accept a female student. I told her I planned
international field of nominees has only
home most of the week while her parents were
to take the exam again the next year and get
increased her determination.
away in the countryside. The only assistance
into an even better program. Ultimately, I was
she received was from friendly neighbors. As a
accepted into one of China’s most prestigious
has made an impact on scientists but, more
result, at a very young age, she learned to rely
institutions of medicine in Beijing. In
importantly, on female scientists,” said Ren.
retrospect, her rejection wasn’t an obstacle but
“It motivates me to work even harder.”
Being chosen by INSIGHT from an
“To be selected reassures me that my work
As she grew professionally, so did her work ethic. Now INSIGHT Into Diversity magazine has chosen her as one of its “100 Inspiring Women in STEM,” as an example for younger women pursuing careers in science, technology, engineering and math. “It is so incredibly surprising and humbling,” said the biomedical sciences professor, nominated by Department Chair Richard Nowakowski. “It is an absolute honor to be given the opportunity to inspire the young women of today to pursue their goals in STEM fields.” Ren, an immunologist, was the daughter of a surgeon and a pediatrician. At their urging, she pursued a medical degree but graduated with a desire to conduct basic research. She came to the U.S. by way of London, where she obtained her Ph.D. “Her childhood experience required tremendous strength of will and independence,” said Nowakowski. “This same will and independence have strengthened her research and her teaching.” Ren’s principal role model, she said, has been her mother. “Ever since I was little, she would always encourage me to focus on my studies — despite the fact that the Cultural Revolution was still going on and most people had stopped going to school,” she said. “She dedicated her life to her work as a physician and biologist even during Ren’s firm belief that women should not be COLIN HACKLEY
the toughest and poorest times.” discouraged by career obstacles comes from personal experience.
expanding and directing our efforts to be relevant to many human diseases,” said Richard Nowakowski, chair of the Department of Biomedical Sciences. “With several new scientists joining an already
merits of your work and your ideas,” Meckes said. “As important as the funding is, it’s even more
safe to say we’ve got a diverse and vibrant group
satisfying to know that it validates what you are
of cancer and cell-cycle biologists.”
doing. It’s a signal that you’re on the right path.”
One example is David Meckes, who has already
Teaming up against cancer
Meckes focuses on a specific area of cancer, but with the goal that what he is discovering
expanding field of research involving
will have applications across a wide realm of
exosomes – small vesicles secreted from
human disease. That makes him a good fit for
cells and containing a sophisticated
the College of Medicine’s attention to disease at
cargo of functional proteins and RNA. It
the molecular level.
hen the Florida Legislature
represents a form of cellular signaling that is being
described what kind of
implicated in a variety of diseases.
medical school Florida
“Your proposal ends up being in the hands of a few established scientists who are judging the
established core of distinguished researchers it’s
begun to distinguish himself in a young and rapidly
Meckes take his work to the next level of discovery.
At the age of 34, Meckes recently secured
“I think that’s one of the great things about this department is the diversity of it,” he said. “For example, I never imagined myself working in
his first independent NIH grant. Obtained in
neuroscience, but I’m in a collaborative project with
leave much doubt about where the focus would
a difficult funding environment, especially for
James Olcese looking at the role exosomes play in
be. On the medical education side, the FSU
young scientists, it’s an important step in helping
State would have, it didn’t
College of Medicine would focus on developing more primary-care physicians for the state, especially those who would provide care to and older patients. The legislature also laid out a clear vision for College of Medicine research. Florida Statute 240.2997 reads, in part: “The College of Medicine shall be dedicated to … advancing knowledge in the applied biomedical and behavioral sciences, geriatric research, autism, cancer, and chronic diseases.” Key parts of the focus were addressed in the organization of academic departments, with robust research activities to be initiated in the departments of Geriatrics and Behavioral Sciences and Social Medicine. The FSU Autism Institute is considered one of the top programs in the U.S. based on its funding and scholarly activities. And slightly more than a decade after the medical school’s fledgling biomedical research program began, the attention to cancer research is gaining momentum. In just the past few months, biomedical researchers have published important cancerrelated papers in prestigious journals Cell and Proceedings of the National Academy of Sciences, and have secured new cancer research funding from the National Institutes of Health. “Our cancer work addresses disease at the molecular level and gives us a foundation for
FACULTY ARRIVED RESEARCH FOCUS FSU MED (prior to arriving at the FSU College of Medicine) Akash Gunjan 2005 DNA damage and repair (Postdoctoral fellow, United Kingdom) Myra Hurt 2000 Understanding cellular division at the molecular level (Director of Program in Medical Sciences; researcher at Florida State University) Daniel Kaplan 2012 DNA replication and genome maintenance (Assistant professor, Vanderbilt University) Yoichi Kato 2004 Molecular mechanism of vertebrate glial development (Research fellow, Harvard Medical School)
Eric Laywell 2011 Brain tumors and tumor progression of human glioblastoma cells (Assistant professor, University of Florida) David Meckes 2013 Molecular mechanisms of viral oncogenesis (American Cancer Society Postdoctoral Fellow, UNC Cancer Center) Tim Megraw 2011 Centrosomes, cilia, stem cells, asymmetric cell division and neurodegeneration (Assistant professor, UT Southwestern) Antonia Nemec 2015 DNA repair and cancer genetics (Postdoctoral research, Yale University School of Medicine) Richard Nowakowski 2010 Cell proliferation and genetic basis of individual differences in the central nervous system (Professor of neuroscience and cell biology, UMDNJ-Robert Wood Johnson Medical School) Yi Ren 2013 Molecular cell biology of inflammation and macrophage function in central nervous system trauma (Research professor, Rutgers University) Raed Rizkallah 2008 Cell cycle regulation (Research faculty, Florida State University) Robert J. Tomko Jr. 2015 How cells build, maintain and utilize the proteasome in normal and disease states (American Cancer Society Postdoctoral Fellow, Yale University) Yanchang Wang 2003 Cell cycle regulation and the response to the expression of damaged proteins (Leukemia and Lymphoma Society Special Fellow, Baylor College of Medicine)
underserved populations, including rural, urban
Looking deep inside the heart
s c i e n c e
he hereditary disease cardiomyopathy, which makes it difficult for the heart to pump enough blood to meet the body’s needs, sometimes leads to heart failure. Drugs like beta blockers control the brain’s signals to the heart requesting more blood for the
body. Other drugs control the amount of blood entering or leaving the heart, diminishing the heart’s workload. None of these therapies, however, act within the heart cells. Researcher Jose Pinto is looking into a treatment that does just that. Using a recent two-year grant from the American Heart Association, first he must demonstrate that mutations in a certain gene – Troponin C – cause the disease. “Troponin C is the calcium sensor in the heart,” said the Department of Biomedical Sciences assistant professor. “In cardiac cells, when calcium binds to this protein, it triggers contraction. That’s how the heart muscle initiates pumping blood.” If Troponin C isn’t working properly, the heart can’t pump blood at a healthy pace. The result is either hypertrophic cardiomyopathy, where the heart becomes abnormally thick, or dilated cardiomyopathy, where the pumping chamber stretches and thins the walls. “Animal models will test the hypothesis that Troponin C can be categorized as a pathogenic gene and that changes in its calcium affinity are responsible for the development of those diseases,” said Pinto. After testing this hypothesis, Pinto’s team will focus on a possible treatment of hypertrophic cardiomyopathy using an enzyme inside heart cells. “The nice thing about the enzyme we are targeting is that it has been shown to be only present in the heart,” said Pinto. “The main problem with most drugs developed to target enzymes is that they affect other cells, healthy cells, and the patient experiences unwanted side effects.” Pinto wants to target hypertrophic cardiomyopathy from within the heart cells, preventing those side effects: “There are no drugs available that defeat abnormal muscle contraction caused by altered Troponin C function inside the cell. That’s the approach that we are taking.” He and his lab will breed mice that develop hypertrophic cardiomyopathy — and then will inject a drug and measure its effect. “We are trying to reduce the levels of this enzyme-like protein in hypertrophic
Soiree for science
very February, FSU alumni Erwin and Stefanie Jackson sponsor a Valentine’s Day performance to support research for a debilitating disease that has impacted their family and is the subject of College of Medicine research.
The Valentine’s Day Soiree provides funding for The Brian Jackson Dystonia Research and Discovery Program. Proceeds support a
hearts to see if we can counter defects in the calcium sensor, correcting the heart-
collaborative effort between the College of Medicine and Tallahassee
contraction function and potentially reversing hypertrophic cardiomyopathy,” said
Memorial HealthCare to better understand the neurological movement
Pinto. “This work can serve as a proof-of-concept for the development of new
disorder first diagnosed in the Jacksons’ son Brian when he was 15.
therapeutic strategies to treat heart disease.”
The event (6 p.m. Feb. 13 at the University Center Club in Tallahassee) features nationally acclaimed performer and FSU School of Theatre graduate Davis Gaines in “Broadway and Beyond.” Gaines is best known
for more than 2,000 performances on Broadway as the phantom in “Phantom of the Opera.” For event details and ticket or sponsorship information, visit ValentinesDaySoiree.com.
Male brain, estrogen boost
ohamed Kabbaj knew that
Much research has underscored the gender
testosterone could protect
differences in response to treatments for anxiety
males and females,” he said, “to improve our
males from the effects of
and depression. In previous studies, the Kabbaj
understanding not only of sex differences
anxiety and depression. He
and estrogen act within the brain in both
lab focused on females and estrogen. This
in mood disorders, but also of new ways to
also knew that the male brain converted most
time, his lab team — led by Nicole Carrier and
approach the development of treatments that
testosterone to estrogen. What he didn’t know
Samantha Saland — focused on males. So far,
are more effective in both men and women.”
was whether testosterone could provide anxiety
the link between testosterone conversion and
protection without undergoing that change.
anxiety/depression has been detected only in
The answer, as his lab reported in Biological Psychiatry earlier this year, was “No.” No
work with interest.
laboratory animals. But Kabbaj says the results
“I go to a lot of meetings that psychiatrists
are potentially promising for humans as well.
also attend,” he said. “They really like the sex-
“It will be critical to identify how testosterone
differences work. They’re very excited about it.”
protection without the conversion to estrogen first.
Kabbaj knows that physicians are watching his
“There is an enzyme in the brain that ‘mediates’ the conversion of testosterone into estrogen,” said Kabbaj, professor in Biomedical Sciences. “We inhibited that enzyme in a specific brain area implicated in the regulation of mood. And when you do that, you lose the antidepressant effect of testosterone.” The search for this and other ways to defuse anxiety and depression is the reason the National Institute of Mental Health chose Kabbaj in 2013 for a six-year, $1.8 million grant. Each year, according to the NIMH, major depressive disorder affects more than 20
million U.S. adults — mostly women.
Moved by research
genetic mutations. “Dr. Megraw gave me my own project my sophomore year working with one of the mutants he found,” said Dietrick, whose lab responsibilities will culminate in an honors thesis project. “Microcephaly is what I’m concentrating on. It’s a brain disease that causes reduced size of the cerebral cortex in humans.” Her broad spectrum of interests often piques others’ curiosity. “People are very surprised when they find out I am involved in both research and Golden Girls,” Dietrick said. “There is such a stereotype that Golden Girls are just dancers that have to look pretty on the sidelines of games, but we are held to high academic standards. “I’m looking at applying to M.D.-Ph.D. programs, because I love research so much. I just can’t imagine doing one without the other.” Her vision for using those degrees is equally ambitious. “Right now, what I’m looking into is gene therapy and doing the clinical component, but also research,” Dietrick said. “It’s such a new field. It would take a lot more research, and then human trials. I’m looking to try to do both.” With the URCAA, she’s on her way. “It’s very validating and humbling to win because so many people applied for the award,” said Dietrick. “It was exciting to know that other people cared about my project.”
FSU Photo Lab/Bill Lax
s part of a military family, undergraduate Barbara Dietrick lived in five states before coming to FSU. Some people might find all that moving to be disruptive, but Dietrick says it gave her a rich supply of experience and initiative. If something interests her, she pursues it. So even though she took four classes last spring as a biology major, studied for the MCAT and danced with the FSU Golden Girls, Dietrick somehow also found time to pursue scientific research in the lab of Biomedical Sciences Associate Professor Tim Megraw. She did so well that she received a 2015 Undergraduate Research and Creative Activity Award (URCAA). More than 70 students applied for the FSU award, and only 12 made the cut. The URCAA provided her with $4,000 to continue her research over the summer by covering living expenses and a conference she attended in Colorado with the Megraw lab. Not bad for someone who, not long ago, enjoyed science but didn’t know the first thing about research. “What I find most remarkable about Barbara is how bright and mature she is,” Megraw said. Dietrick, 21, a senior, discovered research through Florida State’s Undergraduate Research Opportunity Program. Currently she operates her own experiment in the Megraw lab, where they use the fly as a model to study
s c i e n c e
are awarded to approximately 1,600 U.S. students each year. Alumni
could communicate better with the researchers she’ll encounter
include Nobel Prize winners, Pulitzer Prize recipients and heads of state.
in her career, but her choice of Chinese indirectly led to a
Goode will teach English in Taiwan for a year on her Fulbright
prestigious Fulbright scholarship. What’s more, she’s also been
scholarship. She’ll defer graduate school until her return.
accepted into a graduate program that’s willing to wait a year for her to complete her Fulbright. “I decided to do Chinese because it seemed the most relevant,” said Goode, who has taken three semesters of the language. “One in five people on the planet speak it. I really fell in love with the language and the culture.” At the same time, Goode — one of 40 Fulbright scholars selected for Taiwan out of 275 applicants — relished the guidance of Biomedical
“Throughout my graduate school applications, in the back of my mind I was still thinking, ‘I want Fulbright,’” said Goode. “I wanted graduate school eventually, and I did the applications as an exercise, so they would be less scary when I applied again.” Applying once was enough. She was invited to interview at the University of Alabama at Birmingham. “I met with the neuroscience program director at UAB,” said Goode.
Sciences professors Pradeep Bhide and Ioanna Armata while pursuing her
“He said, ‘If you could do the Fulbright and come back to us, we would
interest in neuroscience.
want you even more.’”
“Dr. Armata had just moved here to work in Dr. Bhide’s lab, and it worked out perfectly that she needed students,” said Goode, one of many
Bhide also saw advantages. “A good scientist not only needs to be very skilled in the lab but
undergraduates who work with the college’s research faculty. “I’ve been
well-rounded in all spheres of life — able to interact well with diverse
doing research with her on dystonia, a neurological movement disorder.
groups,” he said. “The Fulbright scholarship will afford Lacy the perfect
I’ve been able to figure out that neuroscience is the path I want to pursue.”
opportunity to ease into the professional world.”
Goode also began to see how her academic interests complemented one another. “Dr. Bhide is working with a lab in China, so last summer we had people from there come over here,” said Goode. “I realized how important it is to build cultural ties and communicate with another culture, especially places like China and Taiwan. That’s the forefront of a lot of research, especially technology.” Then the Fulbright entered the picture. “One of my classmates said, ‘You should really think about applying for a Fulbright,’ and I had never even heard of it,” said Goode. The Fulbright is an international academic exchange program established in 1946 by the U.S. Department of State to promote peace. Scholarships
Goode is especially excited about acquiring teaching skills. “UAB does a lot of outreach with younger children in the community. Gaining teaching skills and being able to take that back — I can apply that to teaching science.” She also sees the practical value of her language studies. Within the Department of Biomedical Sciences, for example, almost 22 percent of faculty, staff and students are Chinese. “In my lab alone, there are several people whose primary language is Chinese, and their English is really impressive,” said Goode. “At the same time, there are moments when they can’t quite express themselves. It’s going to be helpful to be able to communicate with my colleagues from China.”
ecent FSU graduate Lacy Goode tackled Chinese mostly so she
Lacy Goode (right) with her lab team at the College of Medicine
Good news for aspiring neuroscientist
s c i e n c e
p e o p l e
he word “research” used to produce mental images of hermit-like scientists going it alone, jealously guarding their discoveries. But the days of the rugged individualist are fading fast. With prodding from the National Institutes of Health, researchers and their institutions are sharing their work through partnerships and networks —
in a continuing effort to translate discoveries more quickly into healthier communities. The College of Medicine, whose entire approach to medical education is based on clinical Juliette Lomax-Homier
partnerships, made headlines this fall with the latest chapter of its longtime research relationship with the University of Florida. FSU is a partner in the $17.5 million award that UF received through the NIH’s Clinical and Translational Science Award (CTSA) program. “It’s a significant milestone for both institutions,” said Michael Muszynski, associate dean for clinical research. “It further codifies the functionality of our Clinical Research Network involving all of our statewide regional and rural campuses, and it carries the enormous potential of two major Florida universities working together to bring the latest medical advances to a very expansive and diverse patient demographic.” The CTSA supports a nationwide network of about 60 hubs. Myra Hurt, senior associate dean
Fort Pierce’s new leader
uliette Lomax-Homier, onetime partner in a health-care group called Just Ladies, is the newest member of a deans’ group that previously was just gentlemen.
In June, Lomax-Homier became dean of
for research and graduate programs, estimated the College of Medicine’s share of the four-year
the Fort Pierce Regional Campus. Each of the
award will be more than doubled by institutional support and will total several million dollars.
College of Medicine’s six regional campuses has
Not sure what “translational science” means? Hurt offered this example: “We did a pre-test
a dean, and she’s the first woman in that role.
on student athletes testing their reasoning ability. So later, if they get a head injury we have a
Lomax-Homier is no beginner, though: She’s
baseline of ‘Are they reasoning in the same way?’ This would help diagnose minor concussions
been with the Fort Pierce campus since 2007.
that may go unnoticed. It’s a simple change that’s translating research about the athletic physical into prevention and treatment of concussions.” Hurt mentioned blood pressure as another common health issue that could be addressed in this latest round of translational research. “We have about 2,500 community physicians on our clerkship faculty, and they collectively
“She is a superb role model and educator who has served as both OB-GYN clerkship director from the beginning and as our OB-GYN education director for the past year,” College of Medicine Dean John P. Fogarty said. “Her
have more than 2 million patients, representing a demographic cross-section of Florida’s
leadership and calm presence in these roles has
population,” she said. “That’s where our students do their clinical training, and that’s where
made her selection as campus dean very easy.”
we’re building research.” College of Medicine research projects often involve overlapping partnerships with UF and the OneFlorida Clinical Research Consortium.
Lomax-Homier replaced the founding campus dean, Randall Bertolette, who continues to serve as a part-time course director for Doctoring 3.
“Another grant that we recently received with UF, and the University of Miami, is from the
“When I came to Fort Pierce to complete a
Patient-Centered Outcomes Research Institute, or PCORI,” Hurt said. “It will create a database
National Public Health Service Corps obligation
linking de-identified information about human disease all over Florida. The goal is to create an
just out of residency,” she said, “I could have never
archive of such data linked all over the United States. That will greatly enhance our ability to
dreamed that the same community would one day
understand chronic diseases and conditions of the brain that have been very hard to treat.”
host a regional campus of a medical school.” Lomax-Homier’s background aligns perfectly with the College of Medicine’s emphasis on primary care and service. From 1985 to 1989, she served the NHSC as a staff obstetrician-gynecologist for Fort Pierce’s underserved and migrant population. After that, she practiced OB-GYN at Just Ladies. Her practice now is limited to gynecology.
Nurse Practitioner Susan LaJoie, left, works with a diverse patient population in Gadsden County.
Fogarty lauded Bertolette’s work as the first dean of the Fort Pierce campus, and students, alumni, faculty and other community members praised him as kind, supportive, humorous and welcoming. “I only hope,” Lomax-Homier said, “that I
can fill the shoes of Dr. Bertolette.”
Remembering Doc Peaden
n its first 10 years, it was known simply as “the auditorium” or “1400.” Everyone knew that if such a beautiful space was ever named for someone, that person would have to be special indeed. Then in June, Sen. Durell Peaden died — and suddenly it became obvious that this should have been the Durell Peaden Auditorium all along. He was one of the handful of people
about whom you could say: “Without him, the College of Medicine probably wouldn’t exist.” He had all the right ingredients at the perfect time: He was a physician, legislator and Florida Panhandle native; he cared about his rural neighbors; he constantly dreamed up big ideas; and he wouldn’t give up. He dropped by FSU one day in late 1997 and asked whether the university could create a
Producing family docs
he continuum of care that family physicians provide exists nowhere else, says the Florida Academy of Family Physicians. And just about
everyone agrees our country needs more of them. So there were lots of smiles at the College of Medicine this year when it was announced that the school, once again, was among the
medical school to provide the primary-care doctors that rural Northwest Florida needed. The next
country’s top 10 producers of “family docs,” as
month he was introduced to Myra Hurt, then-director of FSU’s Program in Medical Sciences,
they call themselves.
which was providing the first year of medical school for bright Panhandle students (and others) who previously wouldn’t have had a shot at an M.D. She and Peaden became allies and friends.
“This reflects a commitment by the entire school to meet the legislative mandate that
Several years and several miracles later, with critical assistance from then-President Sandy
created our school with a focus on primary
D’Alemberte at FSU and then-Speaker John Thrasher at the Florida House, the FSU College
care and our mission of meeting the needs
of Medicine was established. Over the years, Peaden contributed his time, money (for student
of communities, especially the underserved
scholarships) and considerable influence to help the college produce physicians for elder, rural,
populations, across the state,” said Daniel Van
minority and other underserved populations.
Durme, a family physician and chair of the
This school, of course, was only one of countless worthwhile causes he supported in his 69 years.
Department of Family Medicine and Rural
Equipped with both an M.D. and a J.D., he served in the Florida House from 1994 to 2000 and the
Health. “From outreach programs in rural areas
Senate from 2000 to 2010. He started as a Democrat and switched to the Republican Party. In a story
that begin before college, through admissions
for the News Service of Florida upon Peaden’s death, Jim Saunders wrote: “With his soft, slow drawl,
policies that focus on characteristics likely to
Peaden liked to describe himself as a ‘country doctor.’ He was a well-liked figure in the Legislature,”
produce family doctors, through our innovative
where he was widely known as Doc. He was survived by his wife, Nancy, and three children. And now
a lovely auditorium bears his name. “He had such a life force,” said Hurt, senior associate dean. “I never saw him down, not one time. He was always up to something, always had some project, some plan. He was something else.” Read the Durell Peaden obituary on our website
Second-year student Tatianna Pizzutto is sold on family medicine. “I want to have the breadth of knowledge and ability to treat anyone anywhere,” said Pizzutto, president of the medical school’s Family Medicine Interest Group. “My passion is for the patient. And from what I’ve seen in my year-plus here, every patient needs a primary practitioner to orchestrate their care and navigate our health-care system.” Based on a three-year average reflecting the 2012, 2013 and 2014 classes, the College of Medicine ranks seventh on the latest list released by the American Academy of Family Physicians. It was also in the top 10 in 2007, 2008 and 2009. “We have great graduates matching at wonderful programs throughout the country patient-centered, community-based care,” said Dean John P. Fogarty, himself a family doc. “Recognition as one of the top 10 schools
Durell Peaden Jr., left, appeared with current FSU President John Thrasher at the College of Medicine’s first commencement ceremony in May 2005. It was a crowning achievement for him and Thrasher, who had been instrumental in creating a new medical school at Florida State.
for producing family physicians is a great affirmation that our focus is working.”
and a true commitment to primary care and
p e o p l e
Dean Fogarty at the Class of 2019 White Coat Ceremony in August
A young school leads the way
n its infancy, the College of Medicine
“We believe this change will help the AMA-
of the college’s founders smile as well. In July,
APS expand its engagement with academic
its plans to the accrediting body of U.S.
FSU College of Medicine Dean John P. Fogarty
physicians nationwide and help address the key
and Canadian medical schools. Back then,
quietly began a term as chair of the LCME.
challenge we all face — how best to educate the
the Liaison Committee on Medical Education
You’ve come a long way, baby?
(LCME) believed this country had no pressing
“You better believe it,” said Myra Hurt, who
Recognizing that new medical schools have
helped envision how the college would educate
different accreditation challenges, the AAMC
new physicians and served as interim dean.
and AMA sought input from newer schools for
spent many weekends preparing to help the
“This is sweet irony. And it’s great for new and
LCME understand why a community-based
emerging medical schools to have the LCME
approach would better address the paucity of
chaired by the dean of a young medical school.”
need for new medical schools. A core group of the medical school’s founders
physicians in Florida’s small towns. In many
In addition, Alma Littles, senior associate
next generation of physicians,” Littles said.
That led to Fogarty, who became active with the LCME in 2011, three years after he became the College of Medicine’s dean. He has
ways, those meetings helped shape the course of
dean for medical education and academic
chaired numerous accreditation site visits and
affairs, recently began her term as chair of the
now presides over the LCME’s three annual
Academic Physicians Section (APS) of the
meetings. His term expires in 2017.
In 2006, one year after the College of Medicine gained full accreditation, the
American Medical Association (AMA). She
Association of American Medical Colleges
presided over a transition for the APS from
medical schools after FSU was established has
(AAMC) reversed course and called for an
its previous name — the Section on Medical
challenged the LCME with a major increase in
increase in medical school enrollment, citing
site visits and work at our meetings,” Fogarty
much of the same research Florida State had
A recent, subtler development makes many
spent much time and energy explaining
been describing. By fall 2008, 10 institutions had announced their intent to develop new medical schools.
“The rapid expansion in the number of
There are more than 20,000 academic
said. “I am honored to be chosen to chair
physicians nationwide, but the Section on
this organization and know that this role
Medical Schools had fewer than 600 members.
provides great visibility for the FSU College of Medicine.”
Their heart on our sleeves
hen members of the Class of
The Chapman Foundation covered the cost
2019 donned their first white
of the white coats for first-year students as part
The Chapman Community Health Program at
coats in August, they were in
of the more than $400,000 in support it has
Maryland Oaks Crossing provides FSU medical
many ways being cloaked by the
provided to the College of Medicine and its
students with an enduring platform for service to
students and faculty.
the medically underserved. Working with faculty
kindness of a former physician and his wife, who
and guidance needed to pursue a career in medicine.
had a vision for preserving humanism in medicine.
In addition to the white coats, the foundation
physicians and medical residents, the students are
The Jules B. Chapman, M.D., and Annie Lou
supports the student organization FSUCares in
immersed in the values that are the foundation of
Chapman Private Foundation was created, in
service-learning trips to Immokalee and a year-
the College of Medicine’s service-oriented mission.
part, with first-year medical students in mind.
round community health program at Maryland
“We’re challenged to use the knowledge we
“Four years of medical school presents many
Oaks Crossing, which provides transitional
obtained in the classroom, and translate it into
challenges, and for some the experience diminishes
housing and services for families who have been,
creative and practical solutions for the residents
the fundamental goodness that brought them
or are at risk of becoming, homeless.
of this community,” said second-year medical
to medical school in the first place,” said Robert
The Chapman Foundation also sponsors
student Dijo Joseph. “Dealing with issues such
Watson, professor of clinical sciences at the College
the College of Medicine’s chapter of the Gold
as transportation, access to nutritious foods, and
of Medicine and Chapman Foundation trustee.
Humanism Honor Society, provides a $100,000
affordability of care — those are things practicing
Watson, a neurologist who was Annie Lou
Humanism Scholars Fund and partly underwrites
physicians deal with all the time. Being able to
Chapman’s personal physician for several years,
the cost of HEAL, a student-produced literary
have this experience so early on in our medical
said that her steadfast wish was to help medical
magazine for “humanism evolving through arts
education has been invaluable.
students learn to provide compassionate care and
and literature.” There’s also a weeklong medical school experience
the rigors of medical school. “She always believed
(Summer Institute) in Immokalee for promising
that the art of medicine was at least as important
high school students from underserved backgrounds
as the science of medicine,” Watson said.
who otherwise might not receive the encouragement
future to better treat patients that have obstacles in maintaining their health and well-being.”
to seek ways to nurture their humanism during
“I believe these experiences will allow us in the
First-year student Sam Cook, after being coated by Professor Jim Cavanagh
p e o p l e
Dance Marathon 2015
For the kids
elebrating its 20th year was a piece of cake for Dance Marathon
resources. The money invested locally supports a school-based primary
at FSU. Among the festivities (yes, there was cake) the largest
care health clinic at three schools in Gadsden County, where children
student-run philanthropy on the FSU campus raised a record-
often don’t have adequate access to care. The clinics represent a partnership
breaking $1.16 million.
among the College of Medicine, the Gadsden County Health Department
The dancing takes place in two shifts of 20 hours from Friday evening to Sunday afternoon in February, but raising the money is a year-round effort for the more than 1,800 FSU students who participate.
The proceeds support the Children’s Miracle Network and Shands
and Gadsden County Schools. The College of Medicine also distributes funds to Tallahassee Memorial HealthCare to support pediatric services, including potentially lifesaving genetic screening for a few adolescents each year who otherwise would not
Children’s Hospital in Gainesville, and the FSU College of Medicine
be able to get it. Additional support goes to Bond Community Health
pediatric outreach programs. Tallahassee-area children benefit from each of
Center, Big Bend Hospice and the Young Parents Project and Early Head
The College of Medicine, which received more than $550,000 raised during the 2015 event, seeks opportunities to fill gaps in health care for medically underserved children in the community by utilizing available
Dance Marathon at FSU 2016 takes place Feb. 26-28 at the Donald W. Tucker Civic Center. Donations are accepted year-round at dmfsu.org.
p l a c e s
Expanding mental health research
linical research at the College of Medicine is following a familiar footprint, seeking to include a demographic profile that reflects Florida’s diversity. The college’s developing Clinical Research Network is designed with the idea of learning from the patient
population served by many of the nearly 2,500 physicians throughout the state who teach FSU medical students. And, in turn, discovering ways to improve patient care across the spectrum of human disease. Mental health is no exception. In May, Florida State was invited to become an associate member in the National Network of Depression Centers. Part of the attraction was
Florida State’s community-based medical education program and the
‘Grateful beyond measure’
inherent relationships with community physicians. The national network was seeking to expand into Florida, and partnering with a medical school that has relationships with physicians and their
octor: “Students, we hope many of you will practice primary
patients throughout the state was a selling point.
care in areas where it’s least available.”
“To date, research on causes and treatments for mood disorders has mostly
Students: “We’d love to, but we have a load of academic
included specialty-care patients at single centers and sites, which has limited its
debt. We might have to take higher-paying jobs.”
impact,” said Heather Flynn, associate professor and vice chair for research in
Doctor: “What if we covered your tuition, for starters?”
the medical school’s Department of Behavioral Sciences and Social Medicine.
Talk about a conversational attention-getter, courtesy of the
“Access to such a broad and diverse patient population is vital in order
National Health Service Corps.
to develop a better understanding of mental health and other health issues
Here’s how it works: The NHSC will cover your tuition, fees and
that can be relevant to many different kinds of people.”
other educational expenses for four years. In return, you’ll agree to
Flynn, who has been chair of the Women in Depression Network for 15
serve at an NHSC-approved site for four years. Those sites include
years, said progress in developing treatments for mood disorders has been
medically underserved urban, rural or frontier communities across the
slow for several decades, mostly because researchers have been working on
U.S. The program also will help with your living expenses through a
the problem independently.
tax-free monthly stipend.
The NNDC’s mission is to develop and foster connections to use the
In October, first-year students Tiffany Smith-Sutton and Eric
power of a network to advance scientific discovery and to provide stigma-
Walker became the fifth and sixth College of Medicine students
free, evidence-based care to patients with depressive and bipolar illnesses.
who’ve received these prestigious NHSC scholarships.
“By uniting in a collaborative network, we bring the best minds together,
“For most individuals in my community, health care is a luxury,”
regardless of their location, to advance the state of the science in the field
Walker said. “If afforded the opportunity to serve as a National
of mood disorders.” said John Greden, founding chair of the NNDC.
Health Service Corps member, I believe I will be able to connect
“Florida State University will greatly contribute to that effort.”
with my patients in a very unique way because I would not be too far
The idea behind the network comes from the National Cancer Institutes,
removed from their position.”
which are based on a philosophy that nobody in the U.S. should be more
Smith-Sutton, also eager to do hands-on work in a community
than 200 miles from a cancer center. The NNDC is a long way from that
where the need is greatest, added: “And as a wife and mother of two,
goal, but it has been seeking new partners. This is its first foothold in
funding my medical education with the least amount of debt is top-
Florida, the third-largest state in the country.
priority. I am grateful beyond measure for this scholarship.”
“We’re trying to get mental health and mood disorders on the same level as
For more information: http://nhsc.hrsa.gov/
cancer in the way we look at it from a public health perspective,” Flynn said.
p l a c e s Approaching old age
lorida already is home to the highest percentage of residents over age 65. Within 15 years the number is expected to double (to nearly 8 million), while available caregivers are becoming scarcer. “It’s a dilemma, for sure,” said Paul Katz, who joined the
College of Medicine in June as chair of the Department of Geriatrics. Katz, a geriatrician, is optimistic that the College of Medicine, with
In addition, a third of the nursing workforce and 40 percent of the physician workforce nationwide is currently over age 50. So how is the College of Medicine trying to help? By partnering with the FSU colleges of Nursing and Social Work and with numerous College of Medicine affiliates statewide, for starters. “Together we will be addressing health-care gaps through individual,
its focus on geriatrics, can help provide solutions. He’s buoyed by a
system, community and population-level changes,” said Ken Brummel-
$2.25 million grant from the federal Health Resources and Services
Smith, Department of Geriatrics chair emeritus. “We will be developing
Administration in a strategic effort to address similar problems nationwide.
six innovative projects that will allow for the creation of new service
The College of Medicine is one of 44 organizations in 29 states selected to participate in the Geriatrics Workforce Enhancement Program. “This goes well beyond what we teach medical students,” Katz said.
delivery models in addition to novel opportunities for interprofessional and interdisciplinary training and patient and caregiver education.” For example, the college will sponsor caregiver workshops by specially
“The ultimate goal is to enhance the workforce — nurses, social workers,
trained social workers and community members at Westminster
primary-care physicians and the public. We’re not going to be adequately
Communities locations throughout the state.
prepared to meet the needs of our older patients in Florida with anything less than a comprehensive approach.” Often overlooked in the care of older patients is the free care provided by family members. Roughly 2.8 million of them provided an estimated
The college also will add a geriatrics-focused curriculum to medical residency programs already affiliated with the College of Medicine, and is partnering with the Health Care Network of Southwest Florida to enhance the care of older patients. “All of our efforts,” Katz said, “are oriented toward developing a health-
demographics show that many of those will need care themselves within
care workforce that maximizes patient and family engagement and improves
the next 15 years and that there will be fewer potential caregivers available.
health outcomes for older adults by integrating primary care and geriatrics.”
$29 billion worth of unpaid care to older Floridians in 2009. The state’s
Paul Katz became chair of the college’s Department of Geriatrics in June.
He’s an ACE Fellow
eans of medical schools are rarely family physicians. Marian Bishop, a medical educator and administrator, wanted to change that. She established a trust to help fund “dean school” for family physicians, and half of medical school
FSU Photo Lab/Bill Lax
FSU Photo Lab/Bill Lax Daniel Van Durme
Preparing for operation Wade Douglas
he Florida State University General Surgery Residency Program at Tallahassee Memorial HealthCare took an important step in its development by receiving initial accreditation in June. The residency program will
deans specializing in family medicine have gone through the Bishop
participate in the National Residency Match Program for the first
time in March. The goal is to match six residents and to open in July.
Now, Daniel Van Durme can add his name to the list of Bishop fellows
“Obtaining initial accreditation within a year is remarkable, but
— but not for the same reasons. After six years of thinking the program
is just the first step towards accomplishing the goal of providing
just wasn’t for him, Van Durme said “Yes” in part because it included the
graduate medical education opportunities within the region and
opportunity to learn from other areas of higher education as well. Bishop
hopefully improving health care within the region,” said Program
partnered with the American Council on Education (ACE) Fellowship
Director Wade Douglas.
Program, which selected 47 fellows to learn executive-level leadership in higher education. As a Bishop Fellow and an ACE Fellow, nominated by College of Medicine Dean John P. Fogarty, Van Durme was matched with the University of New Mexico to help meet learning goals on behalf of the college. “I will see how university presidents think, how provosts in other departments at other colleges think,” he said. Van Durme’s main interest, however, is to learn how to enhance the college’s clinical practice. “The goal of my project, with the support of the dean and others,” he said, “is to really look at how we can best identify clinical practice sites for our clinician faculty to work at and practice at that will also be a revenue stream (as the LCME accreditors require) that is clearly aligned with our mission.” He will study under Paul Roth, M.D., the University of New Mexico’s chancellor for health sciences and dean of the school of medicine. Van Durme’s fellowship will span the 2015-2016 academic year, and he will visit the mentoring institution three times for one to two weeks per visit. “A lot of the success of our school came by learning what to pick and choose from other people,” he said. “That’s how you become great:
Build on others’ strengths, learn from others’ weaknesses. We need to do the same thing when we look at our clinical opportunities, practice opportunities and educational opportunities.” As an ACE Fellow, he’ll have a chance to do that.
f l o r i d a ’s
p a n h a n d l e
FLORIDA’S PANHANDLE: FERTILE GROUND FOR TOMORROW’S DOCTORS BY RON HARTUNG
hen the late legislator
She loves that her patients often are neighbors, friends, fellow church
Durell Peaden warned in
members — not people she knows only from her exam room.
the 1990s that the Florida
Brooks did her residency training not far away in Albany, Georgia.
Panhandle was dangerously
Doctors tend to settle down close to their residency locale. But each
low on doctors, he had a
passing year provides more examples of alumni who bucked that trend.
hopeful message as well: Future doctors were waiting to be discovered in
For example, 13 of the 31 who’ve returned to the Panhandle spent three or
the dozens of towns between Madison and Milton. All that was missing,
more years outside the region.
he said, was the magnetic pull of a medical school that specialized in rural areas and primary care.
Actually, having regional roots isn’t even a prerequisite. Twenty-three College of Medicine alumni who grew up outside the Panhandle, or
Today, the Panhandle has become a physician factory beyond Peaden’s
even outside the state, are now practicing in Peaden’s beloved stretch of
wildest dreams. In all, 268 students from 38 Panhandle towns are attending,
Northwest Florida. Peaden, who died in June, would have rejoiced over
or have graduated from, the FSU College of Medicine.
Most are still in med school or residency training. They won’t all return
“Durell was such an optimist, he probably would’ve said, ‘I’m not
to the Panhandle, but many will. Thirty-one Panhandle alumni already
surprised!’” said Myra Hurt, who bonded with Peaden during their efforts
are practicing there — including 19 working in their hometowns. One of
to create the College of Medicine.
them is in Crestview, Peaden’s hometown. “I’m so blessed to be back here,” said Kara Brooks, who graduated from
She knows how valuable each new Panhandle physician is — and how much work goes into recruiting and preparing them.
high school in Crestview. Her relatives were Peaden’s patients, and she worked for him briefly when he was a state senator. “I am forever grateful for his efforts and successes in growing medical resources in my part of the state.” Now she’s practicing at the four-story Sacred Heart Crestview Medical
Clinic. “It’s exactly what I hoped it would be,” said the Class of 2006 alumna.
Lacking words, not brains In 1997, when Peaden inquired about the possibility of a new medical school at FSU, he was immediately steered toward Hurt — who’d been pondering that possibility for years. She directed FSU’s Program in Medical Sciences, which guided students through their first year of medical school. More than that, though, PIMS sought students more likely to
practice medicine in rural and other underserved communities. And PIMS
your resources there when you could put them with other kids who are
emphasized a patient-centered, student-focused, apprenticeship style of
clearly going to do well?”
She was aghast.
“I knew how few rural kids actually get to the point that they apply to
“I learned from teaching high school biology for six years in north
medical school,” said Hurt, senior associate dean for research and graduate
Arkansas that the college-bound kids didn’t really need me. They would
programs, a scientist at FSU since 1987. “Often they just hadn’t been
have done well regardless,” Hurt said. “But the kids that I helped were the
exposed to role models and to people who told them, ‘This is what you’re
ones who needed to learn the language to do better on standardized tests.
going to have to do to get in.’”
They knew the concepts. What they didn’t know were the words. Nobody
Like Peaden, Hurt grew up rural — but in Arkansas. Repeatedly she has seen people overlook entire rural populations, equating unremarkable standardized test scores with unremarkable intelligence. A downstate
had worked with them.” Hurt is delighted to see so many talented medical students who otherwise might have gone undiscovered.
professor familiar with FSU’s outreach efforts once asked her, “Why put
Kara Brooks (M.D., ‘06), left, at her office in Crestview.
p a n h a n d l e
f l o r i d a ’s
Laurel Hill (1)
Molino (1) Milton (1) Crestview (6) Pace (4) Gonzalez (2) Niceville (11) Shalimar (1) Fort Walton Beach (10) Pensacola (31) Navarre (1) Santa Rosa Beach (1) Gulf Breeze (18)
SSTRIDE approach SSTRIDE (Science Students Together Reaching Instructional Diversity
Choosing students In keeping with its mission and legislative mandate, the FSU College
& Excellence) gives rural and minority students the appropriate academic
of Medicine gives special consideration to applicants who are minorities,
background and enthusiasm for science while exposing them to a variety of
rural, Panhandle residents or committed to serving the underserved. So it
health professions. It’s based in five Panhandle counties (plus Orange and
has its own way of evaluating prospective students.
Collier counties downstate). Conceived by Hurt when she directed PIMS, and developed by Thesla Berne-Anderson, SSTRIDE operates under these principles: ∑
an average MCAT below 30. Some say, ‘Florida State is easier to get into.’ My response is, ‘It’s different to get into.’ We put an emphasis on other things.”
If you hope to attract qualified Wewahitchka students to your
data, he said, once you get above a score of 26, pass rates on standardized
in a medical career and stay with them through high school and undergraduate years, preparing them for the academic rigors of the curriculum. Of SSTRIDE’s nearly 1,200 participants with documented high school graduation, more than 98 percent went on to college, and nearly two-thirds chose a health, science or math major. How many prospective students right now are being groomed by SSTRIDE? Answer: 438 (131 in Madison County, 113 in Okaloosa, 107 in Gadsden, 46 in Leon and 41 in Walton).
average MCAT score is about 28. None of the other Florida schools have
example), your best bet is to recruit someone who grew up there.
with them academically in middle school, pique their interest
“For example,” said Assistant Dean for Admissions Graham Patrick, “our
If you want a health professional to practice in Wewahitchka (for
medical school or health program, you’d better get involved
Those MCAT numbers don’t concern Patrick. According to MCAT step exams don’t change, nor do graduation rates. And FSU medical students excel on those step exams. In the most recent results, printed in the med school’s 2014 annual report, FSU students taking USMLE Step 1 for the first time had a pass rate of 93 percent, identical to the national average. For Step 2 (clinical knowledge), FSU students had a pass rate of 98.5 percent, higher than the national average of 95. Every year, scores are well above what you’d predict if you judged solely from MCATs. “We’re happy to offer the opportunity to people who otherwise would not get it,” Patrick said. “We think they’ll make wonderful physicians, if given the chance.”
Bonifay (5) Cottondale (2) Marianna (9) Chipley (3) Grand Ridge (1) Sneads (2) Havana (3) Quincy (1) Blountstown (2) Bristol (2)
Lynn Haven (4) Panama City Beach (2) Panama City (13) Wewahitchka (1)
Monticello (3) Madison (2)
Crawfordville (3) Perry (4)
Port St. Joe (1) Apalachicola (2)
268 STUDENTS FROM 38 PANHANDLE TOWNS This map shows how many people from the Panhandle are enrolled in, or have graduated from, the FSU College of Medicine. How did we define “from the Panhandle”? Where possible, we used the town where the student graduated from high school. For the three years where that information was not available, we used the hometown the student had identified for the graduation program. For example, the “13” next to “Panama City” on the map indicates that 13 alumni or current students either graduated from high school in Panama City or listed Panama City as their hometown at graduation time. (We counted current medical students; current Bridge students; and graduates. We did not count former students who did not graduate.)
Whereas the map shows which of our students came FROM the Florida Panhandle, this chart shows how many College of Medicine alumni came TO the Panhandle to practice — whether or not they grew up here. (Several of these 54 alumni are practicing in more than one town.)
Apalachicola Blountstown Bonifay Chipley Crestview Marianna Pace Panama City Panama City Beach Pensacola Perry Port St. Joe Quincy Santa Rosa Beach Tallahassee
1 1 1 1 1 1 1 4 1 8 2 1 2 1 31
54 ALUMNI PRACTICING IN 15 PANHANDLE TOWNS
p a n h a n d l e
f l o r i d a ’s
HAWKINS: FILLING A NEED IN BONIFAY
hen he thought about coming back to practice in his hometown (population not quite 3,000), Patrick
with his wife’s family and loads of memories: “Country living — growing
Hawkins had one concern: “I didn’t know if Bonifay
up riding four-wheelers, hunting, fishing, doing all the things they talk
people who’d seen me growing up could see me as their physician. I didn’t
about in country songs. Wanting to offer those same opportunities to my
know if they’d open up to ‘little Patrick Hawkins who used to cause
children was definitely the biggest attraction.”
trouble in Sunday School.’” Not a problem. Business is so good at Hawkins Family Medicine that
The relationship between providers and patients is informal, as reflected on the Hawkins Family Medicine Facebook page. In the past year, that page has
he’ll soon be moving into a new, bigger office across I-10. And not a
mentioned the first day of school (wishing everyone “a sick-free year”), ugly
moment too soon: The desks of the doctor, two nurse practitioners and
Christmas sweaters, Hawkins’ mother-in-law/office manager (“the glue that
the office manager now butt up against each other in one cramped room.
holds us all together”), the rodeo (“stop by our booth!”) and much more.
Hawkins graduated from the College of Medicine in 2008 and from the
His faith also shows through: “Thanks be to the Lord for his blessings and to
Tallahassee Memorial Family Medicine Residency Program in 2011. He
you … for your trust.” The 68 patient reviews give him an average of 4.9 out
appreciates Bonifay’s support. And he feels needed.
of 5 stars. “Very smart, very caring crew they have here,” one patient wrote.
“When I came back, the average age of the physicians here was 65 —
In his mind, coming back was never in doubt. His family is here, along
“When you trust someone you’ll drive over an hour to come see them.”
excluding me,” said Hawkins, who occasionally rides his Harley-Davidson
Since 2012, Hawkins has been teaching College of Medicine students
to work. “Since then, we’ve had one of the practicing physicians pass away,
interested in rural medicine. His approach with students, as with patients,
and two retire, which put a heavy burden on the rest of us. Fortunately
is quiet but confident, friendly but no-nonsense.
some nurse practitioners helped out. And just this year we’ve had two new physicians come in. They had family ties.”
“I’ve enjoyed it,” he said. “It keeps me on my toes, just having to make sure I’m explaining stuff correctly and thinking outside the box when necessary. If you go back to the Latin root of ‘doctor,’ it’s ‘teacher.’”
RACKARD: ‘BEST DECISION OF MY LIFE’
achel Rackard has lived in Thailand, Brazil, Maryland and
going to go by whether I was working on this goal or not. It was time to take that
Tallahassee, but in 2003 she and her husband adopted Chipley,
first step forward. So, that’s when my husband and I decided ‘Yes.’ It’s been the
population about 3,500, as their new home. At age 34, a so-called
best decision of my life.”
nontraditional student with a 6-year-old son, she’s spending Year 3
in the College of Medicine’s Rural Program, based near Chipley in Marianna. As an undergrad at FSU, she double-majored in criminal justice and psychology. Then, for 10 years, she worked at the Life Management Center in Marianna
This year, the Rural Program has a new approach. Instead of spending six weeks in family medicine, then eight weeks in internal medicine, for example, students experience the various specialties one day a week. “It’s been a good opportunity to see long-term, chronic-disease management,”
and Bonifay, ultimately becoming a Licensed Mental Health Counselor. She
she said. “It gives you good opportunities to see true continuity of care from
enjoyed the work but eventually thought she could help people more if she had a
lots of perspectives. For example, I was in surgery Monday and Tuesday, and a
medical degree. She and her supportive husband talked it over time and again. Big
lady came in with pelvic pain. The surgeon wanted to refer her to an OB doctor
commitment, long commute, serious disruption of family routine.
before he pursued other things. And I get to go on THAT appointment, to see it
She says she probably wouldn’t be at the College of Medicine if not for a chance visit from first-year students. “A couple of years ago, a class of new
from the OB perspective.” She’s looking ahead to the possibilities: “The Life Management Center is trying to do more integrated care and have family physicians come work with them.
FSU med students came through
After residency, I’ve thought about trying
Marianna as part of their Rural
to rejoin that agency. I definitely
Experience,” she said. “My
want to come back to this
supervisor asked me to talk
area. You literally can
to them about rural mental
leave the doors
health. We had extra time, so
I told them, ‘Yeah, I thought
the keys sitting
about med school.’ They
in the car seat.
were all so encouraging. I
The people are
think that’s when I really got
serious. I knew I’d have to start from scratch with the science prerequisites, but I also knew the years
f l o r i d a ’s
ALBRITTON: HAPPY (AND FRAZZLED) IN MARIANNA
p a n h a n d l e
think my patients appreciate that I’m one of them,” Robin
“He’s very patient with me as well. It’s not just, ‘Hey, come follow me
Albritton says. “They come to me in camouflage, T-shirts,
around and see what I do.’ He’s really interested in helping me learn how to
tank tops, flip-flops. You’re never going to see me dressed
think as a physician.”
up in a suit and tie in here, because that’s just not who I am.”
Albritton grew up in Marianna, headed to medical school, graduated
Here’s a sampling of what Albritton thinks: “FSU has proven than an average MCAT score of 28 does not
in 2007, promised to come back after completing Tallahassee Memorial’s
mean we have lower board scores than anybody else. I tell Chipola
Family Medicine Residency Program — and did. Five years later, he’s
College students here all the time: You need to be a well-rounded
seeing patients at Chipola Surgical & Medical Specialties, mentoring
individual to get into the College of Medicine. English and the arts
Marianna’s next wave of prospective physicians, raising his kids and
are just as important as chemistry and biochemistry. And you need
watching his community of more than 6,000 prosper.
to do mission trips.”
At the same time, he’s working some crazy hours and becoming
“Primary care doctors in towns like I’m in are a dying breed: willing
increasingly aware of the red tape involved in old-fashioned primary care.
to do office, and hospital, and nursing homes, and be on call
It’s satisfying, and sometimes frustrating, on the front lines.
frequently. I’m on call every fifth weekend. Weekends are brutal.
“Dr. Albritton exemplifies the College of Medicine mission statement,”
They’re 72 hours. I’m responsible for every patient in the hospital.
Steven Spence, the medical school’s clerkship administrator in Marianna,
On a slow weekend I often will see 35 to 40 patients. On a busy
said in a letter nominating Albritton for this year’s Distinguished Alumni
Award — which he won.
“Everything is electronic, which was supposed to help us practice
“Working with Dr. Albritton makes you want to do primary care,” said
medicine. But it’s much more labor-intensive. We spend more time on the computer than with patients.”
and Florida’s Clay County, and is spending Monday mornings with him this
“Marianna’s a good community. A lot of my friends are back.
semester. “The rapport that he has with the patients is phenomenal. He
They’re engineers, lawyers, nurse practitioners, outstanding
doesn’t rush people along. He’s also very much into shared decision-making:
businessmen and -women. That’s what it’s going to take. There’s
‘These are our options. What would you like to do?’ He can take something
nobody sitting in New York right now saying, ‘Man, I’m moving to
complex and break it down to a level that anyone can understand.
Jennifer Rowe, a third-year student who grew up in rural North Carolina
MACK: SEEING BEYOND GADSDEN COUNTY
iranda Mack was valedictorian and taught chemistry and
“I love Pensacola [where she spent her clinical years]. Escambia
physical science at East Gadsden High. In short, she’s
County has several satellite communities. I did pediatrics in the
town of Jay, in the middle of nowhere with one traffic light. I’ve
But medical school is a whole different animal. As it
been in Gulf Breeze. I’ve been in Milton. I’ve been in Pace. It’s
turns out, one of Mack’s best discoveries during her medical training
been really interesting to see how things are different in all these
was about herself. At the Pensacola Regional Campus, she learned that
one reason for her difficulty with exams was that she has ADHD. More
Dr. Luis Navas, her first physician mentor in Pensacola, “is one
important, she learned how to live with it.
of the people that brought out my confidence. He gave me a
Now, having finished her clinical rotations, she’s ready to begin
lot of freedom, a lot of responsibility. He was able to see what
interviewing at residency programs for the next stage of her medical
my weaknesses were, and he pushed me toward more of my
education. Big question: Now that she has experienced life beyond rural,
strengths. At the beginning I was second-guessing myself about
familiar Gadsden County, where will she want to settle down?
everything. His mentorship and guidance really helped.”
“Everybody in Quincy that knows I’m in med school wants me to come
“One program that I really liked was St. Vincent’s in Jacksonville.
back,” she said. “At this point, I’m just waiting to find out where I’ll go
I did a four-week rotation there and fit in pretty well with the
to residency, and then I have to go from there with the opportunities that
faculty and residents. They have a combination of rural and urban
populations; serve a lot of people who are uninsured; serve a lot “I applied to a lot of places for medical school, but FSU is the only place that not only took me but nurtured me. I don’t think I would have made it, honestly, if it hadn’t been for the College of
of victims of crime; and have a lot of infectious disease. It’s going to be one of my top choices for residency.” People of Gadsden County, don’t give up: She still might be your
Other observations from this Gadsden native:
doctor one day.
Medicine taking a chance on me.”
ROUNDS COLIN HACKLEY
Frank Walker (center) with Dean John P. Fogarty (left) and Tallahassee Campus Dean Ron Hartsfield.
He was nominated for the Distinguished Alumni Award by Class of 2019 student Andrew Kropp, who shadowed Walker for four years as an FSU undergraduate. “I’ve had people tell me that they choose to drive hours from home in order to visit him because he cares the most and gives the utmost attention to their children,” Kropp said. “Despite having hundreds of patients, Dr. Walker can tell you the social history of virtually anyone without having to look at their chart. Sometimes it’s because he treated the parents when they were children.” The other 2015 Distinguished Alumni Award winner is Robin Albritton (M.D., ’07). He came to medical school from Marianna, where the college has a rural medicine education site, and said all along that he wanted to go back to practice, because that’s where he was needed.
Albritton stayed true to his mission, no matter the challenges. For an idea about his life, and his work, see: ALBRITTON: HAPPY (AND FRAZZLED) IN MARIANNA, on Page 24. Robin Albritton
en years after graduating its first class, the College of Medicine is just getting started honoring its alumni. In August, in its second rendition, the PIMS and College of Medicine Distinguished Alumni Award moved to a bigger stage. During the Class of 2019 White Coat Ceremony, the medical school’s newest students got a chance to meet some of its finest alumni. Many of them likely recognized at least one of the winners. Frank Walker, a Tallahassee pediatrician, was a member of the third group of students to complete the PIMS program (1974). Not long after establishing a pediatrics practice 30 years ago, Walker joined the PIMS admissions committee. He became the committee’s chair and continues in that role today with the College of Medicine admissions committee.
The model of success
FSU Photo Lab/Bill Lax
of responsibility with patient care, which has been instrumental to a smooth transition to residency,” he said. “I felt like from Day One in residency I was comfortable talking to consultants, working with patients, collaborating with nurses and other ancillary staff. Having the opportunity to work with an attending for several weeks on each rotation in medical school was greatly instrumental in building my confidence and allowed for a great degree of graduated responsibility that is so important in medical education.” After completing his OB-GYN residency Cosgrove plans to do a fellowship in gynecologic oncology. And then. … “I hope to have the opportunity to stay in academic medicine and mentor medical students and residents,” he said. “I would love to have the opportunity to be a program director and/or medical student clerkship director in the future.” Wherever he ends up, Cosgrove said he’s thankful for his time as a medical student at Florida State. “I look back at how much we were able to grow on each rotation – from not being able to find a chart on Day One to writing notes, having succinct assessments and plans and being able to communicate the patient’s needs by the end of the rotation is a triumph for the FSU model of medical education.”
A message from Zita t’s nearly a tradition now that the featured speaker at the White Coat Ceremony is a College of Medicine alumnus, particularly one who embodies the medical school’s mission statement in his or her practice choices. Zita Magloire (M.D., ’11) graduated from the University of Kansas Family Medicine Residency Program and returned to enter practice with one of her College of Medicine preceptors – Ashley Register in Cairo, Georgia. “It is amazing to think that eight years ago I was in your place, about to walk across this very stage and don my white coat,” Magloire told the first-year students. “I want to, above all things, encourage you, and tell you that not only can you survive medical school, residency and beyond, but you can grow and become a strong, more caring person in the process.” Magloire cited examples from her time in medical school. “In residency, and even out in practice, most physicians don’t struggle because of lack of knowledge, but because of challenges in effectively communicating with others, dealing with stress or stressful situations, managing time effectively or being able to empathize with their patients,” she said. “The things you will learn here are the skills and attributes that distinguish medical students from Gold Humanism Honor Society medical students; residents from chief residents; and a physician from the doctor that you would send your mom to. These are the things that matter most, and the white coat embodies all of them.”
asey Cosgrove (M.D., ’12) has been inducted into the Gold Humanism Honor Society twice – as a medical student at Florida State, and at The Ohio State University, where he currently is serving as Education Chief Resident in his final year of OB-GYN. One contributed to the other, as far as he’s concerned. “Florida State’s model of having us follow with experienced community physicians really provided me with a great foundation for how to treat the patient and for building a rapport that improves their medical care,” he said. “The responsibility of taking care of patients and working one-on-one with attending physicians gave me a great amount of autonomy, which has translated to success in residency. I also feel that having such great teachers and mentors while in medical school has motivated me to give back to the medical students that I work with.” Cosgrove said the science he learned in his first two years at FSU prepared him well for the ensuing two years of clinical rotations. That’s where he said he was getting the experience that has helped him succeed at Ohio State. “As a medical student at Florida State I always felt as if I was part of the team. My attendings gave me a great amount
ROUNDS First Class support
he inaugural class of the FSU College of Medicine has created an endowed scholarship fund to commemorate its role in the medical school’s history. More than a dozen members of the 27-person Class of 2005 gathered in April at the home of Senior Associate Dean Myra Hurt for a reunion that included the reenactment of a funny photo they took just before the class graduated 10 years earlier.
Standing above the stairs (l-r): Amanda Sumner, Alex Ho, Myra Hurt, Nari Heshmati, Shayla Gray, Joda Lynn, Dean Emeritus J. Ocie Harris, Karen Miles and Associate Dean Helen Livingston. Standing on the stairs (l-r): Lorna Stewart, Christie Alexander, Kimberly Ruscher, Julie Barré and Sarah Mulkey (with child). To contribute to the fund contact Senior Development Officer Cindy Tyler – email@example.com, 850-645-0390.
Ride for Hope
Jason Farrah (M.D., ’06) and his brother, Jeffrey, started Ride for Hope, a memorial bike ride in Tallahassee, to honor their late father, Lou, who died of cancer in 2006. The event, sponsored by Tallahassee Memorial HealthCare, celebrated its 10th anniversary in June. Jason Farrah, center, posed with medical students from FSUCares, who participated in a health fair that is part of the weekend’s activities each year. The event raises money for the TMH Cancer Center. FSUCares faculty advisor Christie Alexander (M.D., ’05) is on the far right.
Sarah Barnett (M.D., ’13), Erika Bernardo (M.D., ’12), and Jazmin Lesnick (M.D., ’11), crossed paths as medical residents with the U.S. Air Force pediatrics program in San Antonio, Texas. Bernardo graduated in June and is a USAF pediatrician at Fort Sam Houston, Texas. There are still three College of Medicine alumni in the residency program, but Joshua Ellis (M.D., ’14) wasn’t available for this photo.
Jada Leahy (M.D., ’09) was photographed by the U.S. Navy as she performed surgery on board the aircraft carrier USS George H.W. Bush during a Feb. 16 training exercise in the Atlantic Ocean. Lt. Cmdr. Leahy was assigned to the USS Bush and was a staff surgeon at Naval Medical Center in Portsmouth, Virginia, but has since relocated to Naval Hospital Pensacola.
teven Moore (M.D., ’11) vowed while in medical school that he would become a primary-care physician like his father, who once was the only doctor in a small, rural town in Alabama. He has done that, graduating from the Family Medicine Residency Program at Carolinas Medical Center in Charlotte, North Carolina, in 2014 before joining a family practice in Charlotte. Not long after joining the practice, Moore saw a particular patient for the first time while on rounds at the hospital. The patient and his wife were so impressed that she sent an email to College of Medicine Dean John P. Fogarty (and gave us permission to reprint it here): “My husband just saw Dr. Moore today for the first time. He is an unbelievably wise, caring, and competent young physician with a brilliant future ahead (in my humble opinion)!!!!!! “Sincerely, Patricia M. Spence.”
c l a s s
n o t e s
2006 Scott L. Brotherton, M.D., is an orthopedic surgeon in Palm Harbor, Florida. He completed military service as a major in the U.S. Air Force, where he served as chief orthopedic surgeon at Osan Air Force Base in South Korea and as an orthopedic surgeon at Eglin AFB in Florida. He completed a fellowship in sports medicine at Andrews Research Institute in Gulf Breeze, Florida. Shannon Price, M.D., is an OB-GYN with Affinity Physicians for Women in Tifton, Georgia.
Mark your calendar
Chris Sundstrom, M.D., is chair of the
he PIMS and College of Medicine 2016 Reunion will be held April 23 at the College of Medicine’s main campus. The event will include a CME program and barbecue and will be held in conjunction with Second Look Weekend (for students accepted to the College of Medicine’s Class of 2020). Look for additional details at med.fsu.edu/alumni or contact Alumni Relations Coordinator Chelsea Knott – firstname.lastname@example.org, 850-645-9428.
Department of Obstetrics and Gynecology at Tallahassee Memorial Hospital. His vice chair is FSU College of Medicine alumna Tanya Evers (M.D., ’08).
2007 Andrew Gamenthaler, M.D., is a surgical
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oncologist in Daytona Beach.
2008 Andrew Galligan, M.D., completed the Pediatric Hematology/Oncology Fellowship at UF Health in Gainesville. In July he became an assistant professor of pediatric hematology/ oncology at USF Health Morsani College of Medicine in Tampa.
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George Barrio, M.D., is practicing neurology with The NeuroMedical Institute of Panama City, Florida.
2010 Thomas Babcock. M.D, is a fellow of otology, neurotology and lateral skull base surgery at the University of Miami Miller
School of Medicine in Miami.
Tara Cosgrove, M.D., served as chief resident
Veronica Finnegan, M.D., is chief resident
in Columbus, Ohio, where she recently began a
of the SUNY Upstate Radiation Oncology
pediatric oncology fellowship.
of pediatrics at Nationwide Children’s Hospital
Residency Program in Syracuse, New York.
Ashley Kelley, M.D., graduated from the
Jessica L. Malmad, M.D., is a family physician
Georgetown University Medicine-Pediatrics
at Stone Mountain Primary Care in Atlanta.
Residency Program in June and is a medicinepediatrics primary-care specialist in Vienna, Austria.
Ashley Lucke, M.D., serves as chair of the
Monica Peña, M.D., completed the Pediatrics
American Academy of Pediatrics Section on Medical
Residency Program at Baylor College of
Students, Residents and Fellowship Trainees.
Medicine-Houston in June. She currently is
She recently began a neonatology fellowship at
practicing with Pediatrics in Brevard at locations in
Baylor College of Medicine in Houston.
Melbourne, Viera, Cocoa Beach and Rockledge.
Bradford March, M.D., is chief resident of the Brown University Diagnostic Radiology Residency Program at Rhode Island Hospital in Providence.
Mary Leona Walch Pippin, M.D., completed the Family Medicine Residency Program at Wake Forest Baptist Medical Center in June. She
Kelli Murphy, M.D., returned from an
is a family physician in Enterprise, Alabama.
operational forces tour as a flight surgeon with
Her husband, Jerrid Pippin, M.D., completed
the U.S. Navy, and got engaged in August (her
the Emergency Medicine Residency Program at
fiancé is Shaun Randell). She is an IM resident
Wake Forest in June and is an ER physician in
at Naval Medical Center San Diego.
Sharon Aroda, M.D., completed the USF
Fernando Parra-Ferro, M.D., is chief resident
Internal Medicine Residency Program in June and
of emergency medicine at the University of
is an internal medicine physician with USF Health
South Carolina/Palmetto Richland and is the
in Tampa. Aroda was married in March to Ankit
proud parent of baby boy Tristan Alexander
Shah, a 2012 USF College of Medicine graduate
Parra-Ferro, born May 16.
who currently is a resident in ophthalmology. Lisa Sappenfield, M.D., recently was featured Michelle Cormier Brenner, M.D., recently
in the American Congress of Obstetricians
completed a U.S. Navy operational forces tour
and Gynecologists District XII newsletter for
as Fleet Marine Force Battalion Surgeon. She
her work in a report on the ACOG Annual
is completing the internal medicine residency
Clinical and Scientific meeting. Sappenfield is a
program at Naval Medical Center San Diego.
past winner of the College of Medicine’s Ryals
Casey Cosgrove, M.D., is in the final year of
Clements Award for the outstanding graduating student in OB-GYN.
the obstetrics-gynecology residency program at The Ohio State University. Read more about his accomplishments after medical school on Page 27.
The Power of the Mosquito Bite
aniel Van Durme’s goal was to be in the New England Journal
I had to have two canes — one in each hand — to get from my bed to the
of Medicine, but not like this. In July 2014, when the Journal
bathroom, walking … about … like … this,” he said, pretending to trudge
reported that the United States had 232 imported cases of the
through molasses. “Every joint was hurting. My knees, my back, my neck,
chikungunya virus, he was one of those cases.
everything. I lay in bed like this” — hands crossed on his chest — “and my
More than a year later, he still is. The high fever lasted just the first week,
arms got stiff. So I thought, ‘I’ve got to straighten my arms out.’” Easier
as did the worst joint pain. But he’s still taking ibuprofen and other anti-
said than done. He demonstrated with clenched teeth and grunts of pain
inflammatory drugs to ward off the discomfort.
how much effort was required.
Van Durme, director of the College of Medicine’s Center on Global
“The bad symptoms last seven to 10 days. My fever got up to 104.0 —
Health, has treated patients in more than a dozen countries. Yet he has a whole
delirium-inducing fever. The joint pain can last a year or more. I’m still
new respect for infectious diseases and the impact one mosquito can have.
taking daily NSAIDs. I’ll keep my fingers crossed, and hopefully it will be
“I was returning from a medical trip to Haiti, and at the Miami airport I first started having symptoms,” he said last spring while leading a seminar
resolved eventually.” Chikungunya showed up in West Africa in the 1950s and the Caribbean
on chikungunya (pronounced “chicken-GUN-ya”) and similar diseases. “I
in 2013. As of March, throughout the Americas, there were 1.3 million
started rubbing my left ankle. By the time I landed in Tallahassee, my right
suspected cases, Van Durme said.
hand started to hurt. Those are still giving me trouble.”
Originally the virus lived in just one type of mosquito, Aedes aegypti, he
The first week is typically the worst.
said. “Then it jumped species to also live in the Aedes albopictus. Both of
“‘Chikungunya’ is a West African word that means ‘to be bent over,’”
those mosquitoes are all through the Southeast. You go outside and get bit
said Van Durme, who’s also chair of the college’s Department of Family Medicine and Rural Health. “Within 24 hours of first having ankle pain,
by a mosquito, there’s a good probability it could be one of those two.” In fact, some people who didn’t travel have still contracted chikungunya. “Somebody went to one of these areas, brought back the virus, got bit by a Florida mosquito, and then the Florida mosquito bit another Floridian and gave them chikungunya,” Van Durme said. The fatality rate is only about 1 in 1,000, usually the very young or very old. No antiviral therapy is available. So rest and hydration are important, he said, as are acetaminophen for fever and, again, anti-inflammatories for pain. He’s still taking them every day. But this experience has done nothing to dampen Van Durme’s enthusiasm for global medicine. He plans to return to Haiti and has resumed his quarterly trips to Nicaragua. “I have seen several patients with chikungunya in Nicaragua,” he said, “and they understand that I can show true sympathy when I tell them I had it as well.” Painful though it has been, Van Durme’s illness has been a powerful teaching tool. “Students do not really comprehend that we actually put ourselves in harm’s way when we treat some illnesses,” he said. “I think it gets them to consider their own career choices and what precautions they may take.” If they do get sick? “For some illnesses, like the flu, we strive to teach students that they MUST stay home to avoid getting others sick.” But if they’re not contagious, he said, doctors must find the balance between when to work, even if they’re not 100 percent, and when to stay home and
get well. Avoiding mosquito bites: www.cdc.gov/features/stopmosquitoes/
Florida State University College of Medicine
Bert Fish Medical Center Flagler County Health Department Florida Health Care Plans Inc. Florida Hospital DeLand Florida Hospital Fish Memorial Florida Hospital Flagler Florida Hospital Memorial Medical Center Florida Hospital Oceanside Halifax Health Stewart-Marchman-Act Behavioral Healthcare Surgery Center of Volusia County Twin Lakes Surgical Center Volusia County Health Department Volusia County Medical Society
Community Health Centers Inc. Department of Health in Orange County Downtown Surgery Center Florida Hospital HealthSouth – Physicians’ Surgical Care Center Nemours Children’s Clinic Orange County Medical Examiner’s Office Orange County Medical Society Orlando Center for Outpatient Surgery Orlando Health Orlando VA Clinic Seminole County Health Department South Lake Hospital St. Cloud Regional Medical Center UF Cancer Center – Orlando Health
Fort Pierce Campus
Department of Health in St. Lucie County Florida Community Health Center Inc. Children’s Medical Services – Southeast Region Grove Place Surgery Center HANDS Clinic of St. Lucie County Heart & Family Health Institute HealthSouth Treasure Coast Rehabilitation Hospital Indian River Medical Center Indian River County Medical Society Lawnwood Regional Medical Center Martin Health System Martin County Medical Society New Horizons of the Treasure Coast Port St. Lucie Hospital Raulerson Hospital Sebastian River Medical Center St. Lucie Medical Center St. Lucie Surgery Center St. Lucie/Okeechobee Medical Society Surgery Center of Okeechobee Inc. Surgical Center of the Treasure Coast The Surgery Center at Jensen Beach Treasure Coast Center for Surgery Treasure Coast Community Health Treasure Coast Hospice VNA of the Treasure Coast Volunteers in Medicine Clinic
Baptist Health Care Children’s Medical Services – Northwest Region Covenant Hospice Department of Health in Escambia County Department of Health in Santa Rosa County EmCare Escambia County Medical Society Haven of Our Lady of Peace Lakeview Center Inc. Naval Hospital Pensacola Nemours Children’s Clinic North Okaloosa Medical Center Sacred Heart Health System Santa Rosa Medical Center VA Gulf Coast Health Care System West Florida Hospital
Orlando Campus Alliance Surgical Center Central Florida Regional Hospital
Sarasota Campus Aesculapian Surgery Center Bay Pines VA Healthcare System Cape Surgery Center Department of Health in Sarasota County DeSoto Memorial Hospital (Arcadia) Doctors Hospital of Sarasota Doctors Same Day Surgery Center GulfCoast Surgery Center Inc. Lakewood Ranch Medical Center Manatee Memorial Hospital Sarasota County Medical Society Sarasota Memorial Health Care System Venice Regional Bayfront Health
Tallahassee Campus Advent Christian Village Apalachee Center Inc. Archbold Medical Center (Thomasville, Ga.) Big Bend Hospice Bond Community Health Center Inc. Capital Health Plan Capital Medical Society Capital Regional Medical Center Centre Pointe Health & Rehabilitation Children’s Medical Services – Big Bend Region Department of Health in Leon County Doctors’ Memorial Hospital (Perry) Emerald Coast Behavioral FSU Health and Wellness HealthSouth Rehabilitation Hospital Life Care Centers of America (Thomasville, Ga.) Memorial Hospital and Manor (Bainbridge, Ga.) Neighborhood Medical Center Red Hills Surgical Center Refuge House Southwest Public Health District 8, Unit 2 (Thomasville, GA) Tallahassee Memorial HealthCare Tallahassee Outpatient Surgery Center Tallahassee Plastic Surgery Clinic Tallahassee Single Day Surgery Tallahassee VA Clinic Westminster Oaks
Rural Medicine Collier County Health Department (Immokalee) Florida State Hospital (Chattahoochee) Healthcare Network of Southwest Florida (Immokalee) Jackson Hospital (Marianna)
FSU College of Medicine -Sponsored Residency Programs Dermatology Residency Program at Dermatology Associates (Tallahassee) Family Medicine Residency Program at Lee Memorial Health System (Fort Myers) General Surgery Residency Program at Tallahassee Memorial Hospital (Tallahassee) Internal Medicine Residency Program at Tallahassee Memorial Hospital (Tallahassee)
Obstetrics & Gynecology Residency Program at Sacred Heart Health System (Pensacola) Pediatrics Residency Program at Sacred Heart Health System (Pensacola) Procedural Dermatology Fellowship Program at Dermatology Associates (Tallahassee)
Family Medicine Residency Program Affiliations Bayfront Medical Center (St. Petersburg) Florida Hospital (Orlando) The Florida State University College of Medicine Family Medicine Residency Program at Lee Memorial Health System (Fort Myers) Halifax Health (Daytona Beach) Mayo Clinic (Jacksonville) Miller School of Medicine, University of Miami, Department of Family Medicine and Community Health (Miami) Morton Plant Hospital (Clearwater) Naval Hospital Pensacola St. Vincent’s Medical Center Inc. (Jacksonville) Tallahassee Memorial HealthCare
Other Affiliates Gadsden County Health Department (Quincy) H. Lee Moffitt Cancer Center & Research Institute (Tampa) Halifax Health General Surgery Residency
Daytona Beach Campus
As a community-based medical school, the FSU College of Medicine provides clinical training at regional medical school campuses around the state through affiliations with local physicians, ambulatory care facilities and hospitals. The medical school is proud to recognize its partner institutions and organizations.
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Getting your first white coat is not only a transformational experience for most medical students, but itâ€™s apparently a lot of fun, as well, judging by the reaction of Brianna Baker, a first-year student from Fort Walton Beach.